Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003937855 Individual Practitioner Female Practitioner

Kathryn Martens Clark , NP

Nurse Practitioner • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Kathryn Clark, NP is a registered healthcare professional specializing in Nurse Practitioner in Ann Arbor, MI. Practice services are available at 1500 EAST MEDICAL CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 East Medical Center Dr
1st Floor Taubman Center Recp D

Ann Arbor, MI 48109

Telephone 7347645175
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
711 Specialists

Practicing in Ann Arbor, MI (3626 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704113960

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4290400 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Sruchika Sabu , MD

Pediatrics - Pediatric Endocrinology

NPI 1558941245

Doctor of Medicine (M.D.)

Dr. Rebecca Patterson , MD

Pediatrics - Pediatric Endocrinology

NPI 1588287932

Doctor of Medicine (M.D.)

NPI 1821004094

Doctor of Medicine (M.D.)

Dr. Amanda Barks , MD, PhD

Pediatrics - Pediatric Endocrinology

NPI 1881332559

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1500 EAST MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP D, ANN ARBOR, MI 48109 (Tel: 7347645175)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KATHRYN CLARK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #4704113960 in MI)

🟢
Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003937855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3621 S State St, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.